
<div class="well">
	<h3>Contact Us</h3>
	<ul>
		<li>You can contact us by writing an email to <a
			href="mailto:support@crintsoft.com">support@crintsoft.com</a>.
		</li>
		<li>Or you can fill an online feedback form below</li>
	</ul>
	<FORM accept-charset=utf-8 action=http://www.crintsoft.com/tinc method=post target="_blank">
		<TABLE class="table borderless">
			<TR>
				<TD width="18%"><B>First name:</B></TD>
				<TD width="33%"><INPUT class="form-control" size=30 name=givenname></INPUT></TD>
				<TD width="2%"></TD>
				<TD width="14%"><B>Last name:</B></TD>
				<TD width="35%"><INPUT class="form-control" size=30 name=name></INPUT></TD>
			</TR>
			<TR>
				<TD><B>E-mail:</B></TD>
				<TD><INPUT class="form-control" size=30 name=email></INPUT></TD>
				<TD colSpan=3></TD>
			</TR>
			<TR>
				<TD><B>Country:</B></TD>
				<TD><INPUT class="form-control" size=30 name=country></INPUT></TD>
				<TD colSpan=3></TD>
			</TR>
			<TR>
				<TD vAlign=top><B>Your comments:</B></TD>
				<TD colSpan=4><TEXTAREA class="form-control" style="WIDTH: 100%;" name=comment rows=10
						cols=50></TEXTAREA></TD>
			</TR>
			<TR>
				<TD></TD>
				<TD colSpan=4><INPUT class="btn btn-default" type=submit value=Submit></INPUT>
				</TD>
			</TR>
			</TBODY>
		</TABLE>
		<INPUT type=hidden value=SZVAtZls name=key ></INPUT>
		<INPUT type=hidden value="$contactus_subject" name=subject></INPUT>
	</FORM>

</div>

